Individual
MICAH JARED BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC, MAT
Contact information
Practice address
750 KANOELEHUA AVE, HILO, HI 96720-7524
(808) 345-0047
Mailing address
PO BOX 942, MOUNTAIN VIEW, HI 96771-0942
(808) 345-0047
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1087
HI
225700000X
Massage Therapist
12759
HI
Other
Enumeration date
05/26/2017
Last updated
09/02/2021
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